Deserie M Thomas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05553300 Issued in NJ

Practice address

650 Rancocas Rd
Westampton, NJ 08060-5613

Phone

(609) 518-2173

NPI assigned

Apr 8, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duckett & Charleston Psychological Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burlington, NJ
  • NPI 1134659410

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1801425046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEW CASTLE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461303",
            "telephone_number": "609-346-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RANCOCAS RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605613",
            "telephone_number": "609-518-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Route 38",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080549765",
            "country_code": "US",
            "telephone_number": "856-437-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DESERIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05553300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Deserie.Thomas@uhs.inc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "650 Rancocas Rd",
            "city": "Westampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080605613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Thomas
• Christina Thomas
• Danielle Thomas, LSW
• Danyel Thomas
• Deirdre Thomas
• Dijon Thomas
• Dometrious Thomas
• Dominique Lashe Thomas
• Erika Thomas
• Heather Thomas

• Clinical Social Worker in Westampton, NJ
• Providers in Westampton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.